Individual
MRS. LAUREN JANWAY STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-5634
(318) 798-4623
Mailing address
309 HIDDEN HOLLOW DR, SHREVEPORT, LA 71106-7696
(225) 454-7026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310484
LA
Other
Enumeration date
08/30/2018
Last updated
11/07/2022
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